Individual
MS. RENNA SHORT BECERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4050 BRIARGATE PKWY, COLORADO SPRINGS, CO 80920-7815
(719) 365-1292
(719) 365-6997
Mailing address
2695 ROCKY MOUNTAIN AVE, SUITE150, LOVELAND, CO 80538-8702
(970) 624-4443
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0055631
CO
207R00000X
Internal Medicine Physician
TL.0004253
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2012
Last updated
09/10/2015
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